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March 22nd, 2010
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A study published in the December edition of Diabetes Care magazine (an ADA publication) examined the links between diabetes, depression and mortality in older adults.
Not surprisingly, untreated depression led to a much higher death rate in 5 years than if there was depression intervention. Intervention was either an anti-depressant or psychotherapy.
It is difficult to take care of all the aspects of this disease on a good day, when you're depressed it's nearly impossible. How hard is it to go out for your daily walk when you just want to keep your head under the covers? (READ MORE)


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One of my scariest trips ever on bicycle was a seven-mile jaunt home from Watertown, Massachusetts to Cambridge in the middle of winter, after dark, on a three-speed commuter with no lights, on a stretch of road which had no street lights but a moderate amount of high-speed traffic. My fingers were freezing despite the warm gloves, and as much (or as little) ambient light as there was from the other side of the river, I found the lights of cars behind me to be a helpful aid as they approached -- but a bane as they passed, leaving me temporarily blinded by their relative brilliance.

 

 

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What I really need is a good online diabetes-related battle. Nothing lights up the 'ole blog switchboard like a feud. I came across a rather heated one in the blogosphere recently. So lucky. All I ever get is nothing but stinkin' compassion and support. Anyone got a beef with me? Anyone? Come on, don't make me beg.

 

Type 2s? Come on, type 2s. When was the last time I addressed your concerns? How about like never. All I do is talk about my type 1 son. Booooring!

 

Type 1s? Come on, hit me!

 

I thought I had a real shot with the Sotomayor piece, but unfortunately most of those who commented, directed their anger not at me but instead at the fictional characters I created. Sigh.

 

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One underlying theme of diabetes blogs and complaints is the difference of our daily routines from those of people who have never known a blood glucose test, never chosen foods based on specific ingredients or an organization's endorsement, never had to dress in a manner different from those around them, and never had to follow a ritual not of the mainstream. Yet we see, meet with, and talk to people who do this on a daily basis, who could never think of not doing this (or who would never consider it)... who do not have diabetes, nor are they housemates of people with diabetes. (READ MORE)


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ADM logo -- sockmonkette In today's environment of cheap-to-the-patient pills that can cure almost anything from a hangnail to cancer, it's sometimes difficult to make significant and often-difficult lifestyle changes on account of a disease or a medical condition. Rarely is this more evident than in the public appearance of Type 2 diabetes.

 

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Where to even start...?

 

And that is the point, you don't know where.

 

When someone is newly diagnosed with diabetes, where should their educational journey begin? Sure, there is the inevitable hospital stay, and the chat with a doctor, and possibly a self-injection tutorial (for the insulin requiring crowd), but what is the next step... after the hospital scene?

 

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As people with diabetes, we are tasked by our medical teams with conducting our lives in a manner such as to minimize or mitigate the destructive effects of our medical condition. A lot of press is given to the concepts of "patient compliance" and "patient adherence" -- enough to raise the blood pressures of many of us past the levels covered by our antihypertensive, renal-protective pharmaceuticals. The idea of being "a diabetic in control" (or "out of control") has also been known to raise the hackles of a number of the T1s among us, whose blood glucose levels vary with the tempo and dynamic (but none of the grace) of a Mahler symphony.

 

Like the four movements of a symphony, or the members of a string quartet, the cornerstones of diabetes self-care are:

 

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I was cleaning the kitchen today.  Since I was laid off this has taken a chunk of my daily life.  I never much cared for the tedium of kitchen cleaning, but now that we're all home so much more, eating 3 times more meals here, the chore has become relentless. But I digress.

 

As I was unloading the dishwasher, it struck me that I wouldn't want my endo to see the current dishload.  There were too many pizza wheels and glasses and not enough mixing spoons and silverware.  Maybe Dr. R-J wouldn't get the connection, but a forensic kitchen examiner would have it in a heartbeat.  CSI: Cordon Bleu, anyone?

 

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Tick, tock, tick, tock.

 

Every one of us with diabetes hears that clock ticking away.

 

Glucose, insulin, ketones, tests.
The endless cycle never rests.
Fail once to heed the daily strife
And that day you may lose your life.

 

Alarmists are everywhere. Family, friends, strangers, all with the best of intentions.

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Julia
JuliaJulia lives behind the Tofu Curtain, in the Pioneer Valley, in Western Massachusetts. It's a nice place. She likes it there. Her eldest daughter, Olivia, has type 1 diabetes. She's also 13. It's a real toss-up as to which is more difficult -- the diabetes or the teen-age drama. (Read More)
Scott Marvel
Scott MarvelScott lives an active life with type 1 diabetes. Aiming to stay on top of his unexpected diagnosis, he puts a strong foot forward to stay in control.
Living life in the sun and fulfilling his dreams, Scott tries to educate himself, and others, on the unquestionable possibilities of a life with type 1 diabetes.
(Read More)
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